Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Kathryn Anne Marie Provenzano, LCPC

Individual provider Professional Counselor · NPI 1518064294

Miss. Kathryn Anne Marie Provenzano, LCPC is a Professional Counselor in Cary, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

1100 Cougar Trl
Cary, IL 60013-6057
Phone: (888) 291-2538
Fax: (847) 516-2510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (IL)

Record details

NPI number1518064294
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedSeptember 17, 2006
Last updated in NPPESJuly 8, 2007

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